Obstetrics & Gynaecology

Top Medical News
Can SLN mapping replace lymphadenectomy for surgical staging of early-stage EEC?
Audrey Abella, Yesterday
Researchers from the KK Women’s and Children’s Hospital, Singapore found that sentinel lymph node (SLN) mapping is an acceptable and safe alternative to routine lymphadenectomy in the surgical staging of early-stage endometrioid endometrial cancer (EEC).
Study reinforces vedolizumab, ustekinumab safety for expectant mums with IBD
2 days ago
Both vedolizumab and ustekinumab are safe to use in pregnant women with inflammatory bowel disease (IBD), as reported in a study.
Dr Shusen Wang, ESMO Asia 2023
Elaine Soliven, 3 days ago

Sacituzumab govitecan improved progression-free survival (PFS) and overall survival (OS) in Asian patients with HR+/HER2– metastatic breast cancer (mBC) compared with the treatment of physician’s choice (TPC*), according to the EVER-132-002 study presented at ESMO Asia 2023.

Postpartum pelvic organ prolapse worsens sexual function, QoL, psychological health
09 Jan 2024
Pelvic organ prolapse (POP) after delivery appears to result in poorer sexual function, quality of life (QoL), and psychological health, suggests a China study.
Higher folic acid levels during pregnancy may help prevent Kawasaki disease in newborns
07 Jan 2024
Having greater serum folic acid levels and taking folic acid supplements more than once a week during the second and third trimesters appear to lower the risk of Kawasaki disease among infants, according to a study.
preterm delivery
Natalia Reoutova, 04 Jan 2024

Cervical length as measured by transperineal ultrasound can predict preterm delivery in women with threatened preterm labour, according to results of a retrospective observational study in 60 Hong Kong women.

Healthy diets may lower risk of kidney disease
Elvira Manzano, 02 Jan 2024
Keeping to a Mediterranean diet improves fertility and averts poor pregnancy outcome in a comprehensive review and meta-analysis conducted by Singaporean researchers. 
Special Reports
Improving IVF outcomes with r-LH supplementation in poor responders
Dr. Daniel Lantsberg, 25 Nov 2023
Recombinant luteinizing hormone (r-LH) supplementation helps improve outcomes of in vitro fertilization (IVF) in women with poor response to controlled ovarian stimulation (COS). At a recent industry-sponsored symposium, Dr Daniel Lantsberg of the Royal Women’s Hospital in Victoria, Australia, discussed which poor responders may benefit from the use of r-LH plus recombinant follicle stimulating hormone (r-FSH), and shared his experience in using combined r-FSH/r-LH (ie, follitropin alfa/lutropin alfa) among patients with prior suboptimal responses to assisted reproductive technology (ART) procedures.
Oral contraception in Hong Kong: Experience and advice
Dr. Heidi Leung, 26 Sep 2023

Dr Heidi Leung, Specialist in Obstetrics & Gynaecology in private practice in Hong Kong, talks to MIMS Doctor ahead of World Contraception Day (WCD) on 26 September 2023, discussing contraception practices in Hong Kong, dispelling some of the common myths surrounding oral contraceptive pills and providing practical advice on their use.

Place of carbetocin in HK’s evolving postpartum haemorrhage landscape
Dr. Wing-Cheong Leung, 04 Aug 2023
Use of carbetocin in prevention of postpartum haemorrhage (PPH) has increased since its introduction to Hong Kong’s public healthcare system in 2017. In an interview with MIMS Doctor, Dr Wing-Cheong Leung of the Department of Obstetrics & Gynaecology, Kwong Wah Hospital, examined the drivers behind carbetocin’s increasing uptake, such as its prolonged activity, favourable safety profile, and potential savings to the public healthcare system.
Disease modification strategies in a patient with active SLE
Dr. Ho SO, 12 Jun 2023

The patient is a 39-year-old female who was diagnosed with systemic lupus erythematosus (SLE) in 2015 and initially presented with significant proteinuria (24-hour urine total protein, 6.6 g). Renal biopsy confirmed class II and V lupus nephritis (LN). Further laboratory investigations were consistent with SLE, including positive antinuclear antibodies (ANA), high anti-double stranded DNA (anti-dsDNA) level (>1000 IU/L), and positive lupus anticoagulant. Complement testing showed low levels of C3 and C4, suggestive of active disease.1

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09 Jun 2023
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Chemotherapy-induced nausea and vomiting: Guideline update and role of netupitant/palonosetron
Prof. Roger Ngan, Dr. Cheng-Vai Hui, 30 May 2023

International antiemetic guidelines recommend combination regimens, such as a corticosteroid plus a serotonin (5-HT3) receptor antagonist (RA) with or without a neurokinin-1 (NK1) RA, as standard of care for prevention of chemotherapy-induced nausea and vomiting (CINV). However, despite the availability of various antiemetic agents and combinations, some patients still experience severe CINV that may hinder cancer treatment adherence. At a symposium organized by the Macau Oncology Association, Professor Roger Ngan of the Department of Clinical Oncology, University of Hong Kong, and Dr Cheng-Vai Hui, Consultant in Medical Oncology, Macau Oncology Association, discussed recent updates in clinical guidelines on CINV management and shared their experience in CINV prophylaxis using a fixed oral combination of an NK1 RA and a 5-HT3 RA (netupitant/palonosetron [NEPA]) in cancer patients receiving moderately emetogenic chemotherapy (MEC) or highly emetogenic chemotherapy (HEC).

Prevention of postpartum haemorrhage in Hong Kong: Risk and cost considerations
Prof. Tak-Yeung Leung, 19 Apr 2023
Currently, oxytocin is the agent of choice for postpartum haemorrhage (PPH) prevention at Hong Kong’s public hospitals. Although carbetocin, a synthetic analogue of oxytocin with a longer half-life, has been shown to be more effective at preventing PPH in a large-scale meta-analysis, it is also substantially more expensive than oxytocin. In an interview with MIMS Doctor, Professor Tak-Yeung Leung of the Department of Obstetrics & Gynaecology, Chinese University of Hong Kong (CUHK), discussed potential risks associated with PPH and whether the more expensive agent can offer greater savings to the public healthcare system.
Conference Reports
Dr Shusen Wang, ESMO Asia 2023
Elaine Soliven, 12 Jan 2024

Sacituzumab govitecan improved progression-free survival (PFS) and overall survival (OS) in Asian patients with HR+/HER2– metastatic breast cancer (mBC) compared with the treatment of physician’s choice (TPC*), according to the EVER-132-002 study presented at ESMO Asia 2023.

Add-on ribociclib continues to triumph in early breast cancer
Audrey Abella, 20 Dec 2023
Coming on the heels of the second interim analysis, the protocol-specified final invasive disease-free survival (iDFS) analysis of the phase III NATALEE trial continues to show a highly significant iDFS benefit with the combination of the CDK 4/6 inhibitor ribociclib and a nonsteroidal aromatase inhibitor (NSAI) in individuals with HR+/HER2- early breast cancer.

MONARCH 3 final OS data support abemaciclib-NSAI for HR+/HER2- advanced breast cancer
Audrey Abella, 18 Dec 2023
In the final overall survival (OS) analysis of the phase III MONARCH 3 trial, the combination of the CDK 4/6 inhibitor abemaciclib and a nonsteroidal aromatase inhibitor (NSAI) continued to show clinically meaningful signals as first-line (1L) treatment for HR+/HER2- advanced breast cancer.
Experts share essential updates on COVID-19 vaccines
Elvira Manzano, 20 Nov 2023
SARS-CoV-2 continues to evolve into newer variants. Post-Delta, these variants are generally more highly transmissible and immune-evasive, although not more virulent, said Dr Gregory Poland, Mary Lowell Leary Emeritus Professor of Medicine and director of Mayo Vaccine Research Group, Mayo Clinic in Rochester, Minnesota, US, at IDWeek 2023.
Podcast: Professor Flor Munoz discusses the importance of vaccination for pregnant women and children against COVID-19 at IDW
30 Oct 2023
Podcast: Professor Flor Munoz discusses the importance of vaccination for pregnant women and children against COVID-19 at IDWeek 2023
Pooled EAGLE subgroup analyses boost gepotidacin potential for uUTI in females
Audrey Abella, 25 Oct 2023
In a pooled analyses of data from the EAGLE*-2 and EAGLE-3 studies, the investigational, first-in-class, oral, triazaacenaphthylene bactericidal antibiotic gepotidacin showed consistent therapeutic efficacy across key patient subgroups and had an acceptable safety profile in female adults and adolescents with uncomplicated urinary tract infections (uUTI) compared with nitrofurantoin.
Relugolix combo reduces dysmenorrhea, NMPP in premenopausal women
Elaine Soliven, 17 Aug 2023
The use of relugolix 40 mg in combination with oestradiol 1 mg and norethisterone acetate 0.5 mg (relugolix combination therapy [relugolix-CT]) significantly reduced dysmenorrhea and nonmenstrual pelvic pain (NMPP) in premenopausal women with endometriosis who received prior hormonal treatment, according to a post hoc analysis of two phase III trials presented at ESHRE 2023.